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9.3 Resource Procedure - Content

Patient Care Work Group Maturity Level : 3   Trial Use Security Category : Patient Compartments : Encounter , Patient , Practitioner , RelatedPerson

An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like counseling long term services, counseling, or hypnotherapy.

Procedure is one of the event resources in the FHIR workflow specification.

This resource is used to record the details of current and historical procedures performed on or for a patient. A procedure is an activity that is performed with on, with, or on for a patient as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counseling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by the patient themselves.

This resource provides summary information about the occurrence of the procedure and is not intended to provide real-time snapshots of a procedure as it unfolds, though for long-running procedures such as psychotherapy, it could represent summary level information about overall progress. The creation of a resource to support detailed real-time procedure information awaits the identification of a specific implementation use-case to share such information.

The Procedure resource should not be used to capture an event if a more specific resource already exists - i.e. immunizations , drug administrations and communications . The boundary between determining whether an action is a Procedure (training or counseling) as opposed to a Communication is based on whether there's a specific intent to change the mind-set of the patient. Mere disclosure of information would be considered a Communication. A process that involves verification of the patient's comprehension or to change the patient's mental state would be a Procedure.

Note that many diagnostic processes are procedures that generate Observations and DiagnosticReports . In many cases, such an observation does not require an explicit representation of the procedure used to create the observation, but where there are details of interest about how the diagnostic procedure was performed, the procedure Procedure resource is used to describe the activity.

Some diagnostic procedures might not have a Procedure record. The Procedure record is only necessary when there is a need to capture information about the physical intervention that was performed to capture the diagnostic information (e.g. anesthetic, incision, scope size, etc.)

A Task is a workflow step such as cancelling an order, fulfilling an order, signing an order, merging a set of records, admitting a patient. Procedures are actions that are intended to result in a physical or mental change to or for the subject (e.g. surgery, physiotherapy, training, counseling). A Task resource often exists in parallel with clinical resources. For example, a Task might request fulfillment of a ServiceRequest ordering a Procedure.

This resource is referenced by AdverseEvent , Appointment , ChargeItem , Claim , ClinicalImpression , DeviceUseStatement , Encounter , ExplanationOfBenefit , Flag , ImagingStudy , MedicationAdministration , MedicationDispense , MedicationStatement MedicationUsage , Observation , itself and QuestionnaireResponse .

This resource implements the Event pattern.

Structure

Name Flags Card. Type Description & Constraints doco
. . Procedure TU DomainResource An action that is being or was performed on a patient
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier Σ 0..* Identifier External Identifiers for this procedure
. . . instantiatesCanonical Σ 0..* canonical ( PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire ) Instantiates FHIR protocol or definition
.. . instantiates instantiatesUri Σ 0..* uri Instantiates external protocol or definition
. . . basedOn Σ 0..* Reference ( CarePlan | ServiceRequest ) A request for this procedure
. . . partOf Σ 0..* Reference ( Procedure | Observation | MedicationAdministration ) Part of referenced event
. . . status ?! Σ 1..1 code preparation | in-progress | not-done | suspended on-hold | aborted stopped | completed | entered-in-error | unknown
EventStatus ( Required )
. . . statusReason Σ 0..1 CodeableConcept Reason for current status
Procedure Not Performed Reason (SNOMED-CT) ( Example )
. . . category Σ 0..1 0..* CodeableConcept Classification of the procedure
Procedure Category Codes (SNOMED CT) ( Example )
. . . code Σ 0..1 CodeableConcept Identification of the procedure
Procedure Codes (SNOMED CT) ( Example )
. . . subject Σ 1..1 Reference ( Patient | Group ) Who the procedure was performed on
. . . context encounter Σ 0..1 Reference ( Encounter | EpisodeOfCare ) The Encounter or episode associated with the procedure during which this Procedure was created
. . . performed[x] occurrence[x] Σ 0..1 When the procedure was performed occurred or is occurring
. . . . performedDateTime occurrenceDateTime dateTime
. . . . performedPeriod occurrencePeriod Period
. . . . performedString occurrenceString string
. . . . performedAge occurrenceAge Age
. . . . performedRange occurrenceRange Range
. . . . occurrenceTiming Timing
... recorded Σ 0..1 dateTime When the procedure was first captured in the subject's record
. . . recorder Σ 0..1 Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole ) Who recorded the procedure
. . asserter . reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole | Organization ) Person who asserts this procedure
. . . performer Σ 0..* BackboneElement The people who performed the procedure
. . . . role function Σ 0..1 CodeableConcept The role the actor was in Type of performance
Procedure Performer Role Codes ( Example )
. . . . actor Σ 1..1 Reference ( Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device ) The reference to the practitioner
. . . . onBehalfOf 0..1 Reference ( Organization ) Organization the device or practitioner was acting for
. . . location Σ 0..1 Reference ( Location ) Where the procedure happened
. . . reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Procedure Reason Codes ( Example )
. . . reasonReference Σ 0..* Reference ( Condition | Observation | Procedure | DiagnosticReport | DocumentReference ) The justification that the procedure was performed
. . . bodySite Σ 0..* CodeableConcept Target body sites
SNOMED CT Body Structures ( Example )
. . . outcome Σ 0..1 CodeableConcept The result of procedure
Procedure Outcome Codes (SNOMED CT) ( Example )
. . . report 0..* Reference ( DiagnosticReport | DocumentReference | Composition ) Any report resulting from the procedure
. . . complication 0..* CodeableConcept Complication following the procedure
Condition/Problem/Diagnosis Codes ( Example )
. . . complicationDetail 0..* Reference ( Condition ) A condition that is a result of the procedure
. . . followUp 0..* CodeableConcept Instructions for follow up
Procedure Follow up Codes (SNOMED CT) ( Example )
. . . note 0..* Annotation Additional information about the procedure
. . . focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
. . . . action 0..1 CodeableConcept Kind of change to device
Procedure Device Action Codes ( Preferred )
. . . . manipulated 1..1 Reference ( Device ) Device that was changed
. . . usedReference 0..* Reference ( Device | Medication | Substance ) Items used during procedure
. . . usedCode 0..* CodeableConcept Coded items used during the procedure
FHIR Device Types ( Example )

doco Documentation for this format

UML Diagram ( Legend )

Procedure ( DomainResource ) Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and propagates is propagated from server to server identifier : Identifier [0..*] A The URL pointing to a FHIR-defined protocol, guideline, orderset order set or other definition that was is adhered to in whole or in part by this procedure Procedure instantiates instantiatesCanonical : canonical [0..*] « PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire » The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure instantiatesUri : uri [0..*] A reference to a resource that contains details of the request for this procedure basedOn : Reference [0..*] « CarePlan | ServiceRequest » A larger event of which this particular procedure is a component or step partOf : Reference [0..*] « Procedure | Observation | MedicationAdministration » A code specifying the state of the procedure. Generally Generally, this will be the in-progress or completed state (this element modifies the meaning of other elements) status : code [1..1] « A code specifying the state of the procedure. (Strength=Required) EventStatus ! » Captures the reason for the current state of the procedure statusReason : CodeableConcept [0..1] « A code that identifies the reason a procedure was not performed. (Strength=Example) Procedure Not Performed Reaso... ProcedureNotPerformedReason(S... ?? » A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure") category : CodeableConcept [0..1] [0..*] « A code that classifies a procedure for searching, sorting and display purposes. (Strength=Example) Procedure Category Codes (SNO... ProcedureCategoryCodes(SNOMED... ?? » The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy") code : CodeableConcept [0..1] « A code to identify a specific procedure . (Strength=Example) Procedure Codes (SNOMED CT) ProcedureCodes(SNOMEDCT) ?? » The person, animal or group on which the procedure was performed subject : Reference [1..1] « Patient | Group » The encounter Encounter during which the procedure this Procedure was created or performed or to which the creation of this record is tightly associated context encounter : Reference [0..1] « Encounter | EpisodeOfCare » Estimated or actual date, date-time, period, or age when the procedure was performed. did occur or is occurring. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured performed[x] occurrence[x] : Type [0..1] « dateTime | Period | string | Age | Range | Timing » The date the occurrence of the procedure was first captured in the record - potentially significantly after the occurrence of the event recorded : dateTime [0..1] Individual who recorded the record and takes responsibility for its content recorder : Reference [0..1] « Patient | RelatedPerson | Practitioner | PractitionerRole » Individual who is making Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the procedure statement source of the report asserter reported[x] : Reference Type [0..1] « boolean | Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole | Organization ) » The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant location : Reference [0..1] « Location » The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text reasonCode : CodeableConcept [0..*] « A code that identifies the reason a procedure is required. (Strength=Example) Procedure Reason ProcedureReasonCodes ?? » The justification of why the procedure was performed reasonReference : Reference [0..*] « Condition | Observation | Procedure | DiagnosticReport | DocumentReference » Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion bodySite : CodeableConcept [0..*] « Codes describing anatomical locations. May include laterality. (Strength=Example) SNOMED CT Body Structures SNOMEDCTBodyStructures ?? » The outcome of the procedure - did it resolve the reasons for the procedure being performed? outcome : CodeableConcept [0..1] « An outcome of a procedure - whether it was resolved or otherwise. (Strength=Example) Procedure Outcome Codes (SNOM... ProcedureOutcomeCodes(SNOMEDC... ?? » This could be a histology result, pathology report, surgical report, etc report : Reference [0..*] « DiagnosticReport | DocumentReference | Composition » Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues complication : CodeableConcept [0..*] « Codes describing complications that resulted from a procedure. (Strength=Example) Condition/Problem/Diagnosis Condition/Problem/DiagnosisCo... ?? » Any complications that occurred during the procedure, or in the immediate post-performance period complicationDetail : Reference [0..*] « Condition » If the procedure required specific follow up - e.g. removal of sutures. The followup follow up may be represented as a simple note, note or could potentially be more complex complex, in which case the CarePlan resource can be used followUp : CodeableConcept [0..*] « Specific follow up required for a procedure e.g. removal of sutures. (Strength=Example) Procedure Follow up Codes (SN... ProcedureFollowUpCodes(SNOMED... ?? » Any other notes and comments about the procedure note : Annotation [0..*] Identifies medications, devices and any other substance used as part of the procedure usedReference : Reference [0..*] « Device | Medication | Substance » Identifies coded items that were used as part of the procedure usedCode : CodeableConcept [0..*] « Codes describing items used during a procedure procedure. (Strength=Example) FHIR Device Types FHIRDeviceTypes ?? » Performer Distinguishes the type of involvement of the performer in the procedure. For example: example, surgeon, anaethetist, anaesthetist, endoscopist role function : CodeableConcept [0..1] « A code that identifies the role of a performer of the procedure. (Strength=Example) Procedure Performer Role ProcedurePerformerRoleCodes ?? » The practitioner who was involved in the procedure actor : Reference [1..1] « Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device » The organization the device or practitioner was acting on behalf of onBehalfOf : Reference [0..1] « Organization » FocalDevice The kind of change that happened to the device during the procedure action : CodeableConcept [0..1] « A kind of change that happened to the device during the procedure. (Strength=Preferred) Procedure Device Action ProcedureDeviceActionCodes ? » The device that was manipulated (changed) during the procedure manipulated : Reference [1..1] « Device » Limited to 'real' "real" people rather than equipment performer [0..*] A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure focalDevice [0..*]

XML Template

<Procedure xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <</identifier>
 <

 <identifier><!-- 0..* Identifier External Identifiers for this procedure --></identifier>
 <instantiatesCanonical><!-- 0..* canonical(ActivityDefinition|Measure|
   OperationDefinition|PlanDefinition|Questionnaire) Instantiates FHIR protocol or definition --></instantiatesCanonical>
 <instantiatesUri value="[uri]"/><!-- 0..* Instantiates external protocol or definition -->

 <basedOn><!-- 0..* Reference(CarePlan|ServiceRequest) A request for this procedure --></basedOn>
 <</partOf>
 <

 <partOf><!-- 0..* Reference(MedicationAdministration|Observation|Procedure) Part of referenced event --></partOf>
 <status value="[code]"/><!-- 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown -->

 <statusReason><!-- 0..1 CodeableConcept Reason for current status --></statusReason>
 <</category>

 <category><!-- 0..* CodeableConcept Classification of the procedure --></category>

 <code><!-- 0..1 CodeableConcept Identification of the procedure --></code>
 <</subject>
 <</context>
 <</performed[x]>
 <|
   </recorder>
 <|
   </asserter>
 <
  <</role>
  <|
    </actor>

 <subject><!-- 1..1 Reference(Group|Patient) Who the procedure was performed on --></subject>
 <encounter><!-- 0..1 Reference(Encounter) The Encounter during which this Procedure was created --></encounter>
 <occurrence[x]><!-- 0..1 dateTime|Period|string|Age|Range|Timing When the procedure occurred or is occurring --></occurrence[x]>
 <recorded value="[dateTime]"/><!-- 0..1 When the procedure was first captured in the subject's record -->
 <recorder><!-- 0..1 Reference(Patient|Practitioner|PractitionerRole|
   RelatedPerson) Who recorded the procedure --></recorder>
 <reported[x]><!-- 0..1 boolean|Reference(Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) Reported rather than primary record --></reported[x]>
 <performer>  <!-- 0..* The people who performed the procedure -->
  <function><!-- 0..1 CodeableConcept Type of performance --></function>
  <actor><!-- 1..1 Reference(Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) The reference to the practitioner --></actor>
  <onBehalfOf><!-- 0..1 Reference(Organization) Organization the device or practitioner was acting for --></onBehalfOf>
 </performer>
 <location><!-- 0..1 Reference(Location) Where the procedure happened --></location>
 <</reasonCode>
 <|
   </reasonReference>

 <reasonCode><!-- 0..* CodeableConcept Coded reason procedure performed --></reasonCode>
 <reasonReference><!-- 0..* Reference(Condition|DiagnosticReport|
   DocumentReference|Observation|Procedure) The justification that the procedure was performed --></reasonReference>
 <bodySite><!-- 0..* CodeableConcept Target body sites --></bodySite>
 <</outcome>
 <</report>

 <outcome><!-- 0..1 CodeableConcept The result of procedure --></outcome>
 <report><!-- 0..* Reference(Composition|DiagnosticReport|DocumentReference) Any report resulting from the procedure --></report>

 <complication><!-- 0..* CodeableConcept Complication following the procedure --></complication>
 <complicationDetail><!-- 0..* Reference(Condition) A condition that is a result of the procedure --></complicationDetail>
 <</followUp>

 <followUp><!-- 0..* CodeableConcept Instructions for follow up --></followUp>

 <note><!-- 0..* Annotation Additional information about the procedure --></note>
 <focalDevice>  <!-- 0..* Manipulated, implanted, or removed device -->
  <action><!-- 0..1 CodeableConcept Kind of change to device --></action>
  <manipulated><!-- 1..1 Reference(Device) Device that was changed --></manipulated>
 </focalDevice>
 <usedReference><!-- 0..* Reference(Device|Medication|Substance) Items used during procedure --></usedReference>
 <usedCode><!-- 0..* CodeableConcept Coded items used during the procedure --></usedCode>
</Procedure>

JSON Template

{doco
  "resourceType" : "",

  "resourceType" : "Procedure",

  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "
  "

  "identifier" : [{ Identifier }], // External Identifiers for this procedure
  "instantiatesCanonical" : [{ canonical(ActivityDefinition|Measure|
   OperationDefinition|PlanDefinition|Questionnaire) }], // Instantiates FHIR protocol or definition
  "instantiatesUri" : ["<uri>"], // Instantiates external protocol or definition

  "basedOn" : [{ Reference(CarePlan|ServiceRequest) }], // A request for this procedure
  "
  "

  "partOf" : [{ Reference(MedicationAdministration|Observation|Procedure) }], // Part of referenced event
  "status" : "<code>", // R!  preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown

  "statusReason" : { CodeableConcept }, // Reason for current status
  "

  "category" : [{ CodeableConcept }], // Classification of the procedure

  "code" : { CodeableConcept }, // Identification of the procedure
  "
  "
  
  ">",
  " },
  ">",
  " },
  " },
  "|
   
  "|
   
  "
    "
    "|
    

  "subject" : { Reference(Group|Patient) }, // R!  Who the procedure was performed on
  "encounter" : { Reference(Encounter) }, // The Encounter during which this Procedure was created
  // occurrence[x]: When the procedure occurred or is occurring. One of these 6:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceString" : "<string>",
  "occurrenceAge" : { Age },
  "occurrenceRange" : { Range },
  "occurrenceTiming" : { Timing },
  "recorded" : "<dateTime>", // When the procedure was first captured in the subject's record
  "recorder" : { Reference(Patient|Practitioner|PractitionerRole|
   RelatedPerson) }, // Who recorded the procedure  // reported[x]: Reported rather than primary record. One of these 2:
  "reportedBoolean" : <boolean>,
  "reportedReference" : { Reference(Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) },
  "performer" : [{ // The people who performed the procedure
    "function" : { CodeableConcept }, // Type of performance
    "actor" : { Reference(Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) }, // R!  The reference to the practitioner
    "onBehalfOf" : { Reference(Organization) } // Organization the device or practitioner was acting for
  }],
  "location" : { Reference(Location) }, // Where the procedure happened
  "
  "|
   

  "reasonCode" : [{ CodeableConcept }], // Coded reason procedure performed
  "reasonReference" : [{ Reference(Condition|DiagnosticReport|
   DocumentReference|Observation|Procedure) }], // The justification that the procedure was performed
  "bodySite" : [{ CodeableConcept }], // Target body sites
  "
  "

  "outcome" : { CodeableConcept }, // The result of procedure
  "report" : [{ Reference(Composition|DiagnosticReport|DocumentReference) }], // Any report resulting from the procedure

  "complication" : [{ CodeableConcept }], // Complication following the procedure
  "complicationDetail" : [{ Reference(Condition) }], // A condition that is a result of the procedure
  "

  "followUp" : [{ CodeableConcept }], // Instructions for follow up

  "note" : [{ Annotation }], // Additional information about the procedure
  "focalDevice" : [{ // Manipulated, implanted, or removed device
    "action" : { CodeableConcept }, // Kind of change to device
    "manipulated" : { Reference(Device) } // R!  Device that was changed
  }],
  "usedReference" : [{ Reference(Device|Medication|Substance) }], // Items used during procedure
  "usedCode" : [{ CodeableConcept }] // Coded items used during the procedure
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:;

[ a fhir:Procedure;

  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:
  fhir:

  fhir:Procedure.identifier [ Identifier ], ... ; # 0..* External Identifiers for this procedure
  fhir:Procedure.instantiatesCanonical [ canonical(ActivityDefinition|Measure|OperationDefinition|PlanDefinition|Questionnaire) ], ... ; # 0..* Instantiates FHIR protocol or definition
  fhir:Procedure.instantiatesUri [ uri ], ... ; # 0..* Instantiates external protocol or definition

  fhir:Procedure.basedOn [ Reference(CarePlan|ServiceRequest) ], ... ; # 0..* A request for this procedure
  fhir:
  fhir:

  fhir:Procedure.partOf [ Reference(MedicationAdministration|Observation|Procedure) ], ... ; # 0..* Part of referenced event
  fhir:Procedure.status [ code ]; # 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown

  fhir:Procedure.statusReason [ CodeableConcept ]; # 0..1 Reason for current status
  fhir:

  fhir:Procedure.category [ CodeableConcept ], ... ; # 0..* Classification of the procedure

  fhir:Procedure.code [ CodeableConcept ]; # 0..1 Identification of the procedure
  fhir:
  fhir:
  # . One of these 5
    fhir: ]
    fhir: ]
    fhir: ]
    fhir: ]
    fhir: ]
  fhir:
  fhir:
  fhir:
    fhir:
    fhir:

  fhir:Procedure.subject [ Reference(Group|Patient) ]; # 1..1 Who the procedure was performed on
  fhir:Procedure.encounter [ Reference(Encounter) ]; # 0..1 The Encounter during which this Procedure was created
  # Procedure.occurrence[x] : 0..1 When the procedure occurred or is occurring. One of these 6
    fhir:Procedure.occurrenceDateTime [ dateTime ]
    fhir:Procedure.occurrencePeriod [ Period ]
    fhir:Procedure.occurrenceString [ string ]
    fhir:Procedure.occurrenceAge [ Age ]
    fhir:Procedure.occurrenceRange [ Range ]
    fhir:Procedure.occurrenceTiming [ Timing ]
  fhir:Procedure.recorded [ dateTime ]; # 0..1 When the procedure was first captured in the subject's record
  fhir:Procedure.recorder [ Reference(Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who recorded the procedure
  # Procedure.reported[x] : 0..1 Reported rather than primary record. One of these 2
    fhir:Procedure.reportedBoolean [ boolean ]
    fhir:Procedure.reportedReference [ Reference(Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]
  fhir:Procedure.performer [ # 0..* The people who performed the procedure
    fhir:Procedure.performer.function [ CodeableConcept ]; # 0..1 Type of performance
    fhir:Procedure.performer.actor [ Reference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 1..1 The reference to the practitioner

    fhir:Procedure.performer.onBehalfOf [ Reference(Organization) ]; # 0..1 Organization the device or practitioner was acting for
  ], ...;
  fhir:Procedure.location [ Reference(Location) ]; # 0..1 Where the procedure happened
  fhir:
  fhir:

  fhir:Procedure.reasonCode [ CodeableConcept ], ... ; # 0..* Coded reason procedure performed
  fhir:Procedure.reasonReference [ Reference(Condition|DiagnosticReport|DocumentReference|Observation|Procedure) ], ... ; # 0..* The justification that the procedure was performed

  fhir:Procedure.bodySite [ CodeableConcept ], ... ; # 0..* Target body sites
  fhir:
  fhir:

  fhir:Procedure.outcome [ CodeableConcept ]; # 0..1 The result of procedure
  fhir:Procedure.report [ Reference(Composition|DiagnosticReport|DocumentReference) ], ... ; # 0..* Any report resulting from the procedure

  fhir:Procedure.complication [ CodeableConcept ], ... ; # 0..* Complication following the procedure
  fhir:Procedure.complicationDetail [ Reference(Condition) ], ... ; # 0..* A condition that is a result of the procedure
  fhir:

  fhir:Procedure.followUp [ CodeableConcept ], ... ; # 0..* Instructions for follow up

  fhir:Procedure.note [ Annotation ], ... ; # 0..* Additional information about the procedure
  fhir:Procedure.focalDevice [ # 0..* Manipulated, implanted, or removed device
    fhir:Procedure.focalDevice.action [ CodeableConcept ]; # 0..1 Kind of change to device
    fhir:Procedure.focalDevice.manipulated [ Reference(Device) ]; # 1..1 Device that was changed
  ], ...;
  fhir:Procedure.usedReference [ Reference(Device|Medication|Substance) ], ... ; # 0..* Items used during procedure
  fhir:Procedure.usedCode [ CodeableConcept ], ... ; # 0..* Coded items used during the procedure
]

Changes since R3

Procedure.performed[x] Add string, Add Age, Add Range Procedure.performer.actor Type changed from Reference(Practitioner|Organization|Patient|RelatedPerson|Device) to Reference(Practitioner|PractitionerRole|Organization|Patient|RelatedPerson|Device) Procedure.reasonReference Type changed from Reference(Condition|Observation) to Reference(Condition|Observation|Procedure|DiagnosticReport|DocumentReference) Procedure.report Type changed from Reference(DiagnosticReport) to Reference(DiagnosticReport|DocumentReference|Composition)
Procedure
Procedure.instantiates Procedure.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.1.0
Procedure.basedOn Procedure.category
  • Type Max Cardinality changed from Reference(CarePlan|ProcedureRequest|ReferralRequest) 1 to Reference(CarePlan|ServiceRequest) *
Procedure.statusReason Procedure.occurrence[x]
  • Added Element
Procedure.recorder Procedure.recorded
  • Added Element
Procedure.asserter Procedure.reported[x]
  • Added Element
Procedure.definition deleted Procedure.notDone Procedure.performed[x]
  • deleted
Procedure.notDoneReason Procedure.asserter
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON .

See R2 <--> R3 <--> R4 Conversion Maps (status = 9 15 tests that all execute ok. All tests pass 3 fail round-trip testing and all 1 r3 resources are valid.). Note: these have note yet been updated to be R3 to R4 invalid (0 errors). )

Structure

Name Flags Card. Type Description & Constraints doco
. . Procedure TU DomainResource An action that is being or was performed on a patient
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier Σ 0..* Identifier External Identifiers for this procedure
. . . instantiatesCanonical Σ 0..* canonical ( PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire ) Instantiates FHIR protocol or definition
.. . instantiates instantiatesUri Σ 0..* uri Instantiates external protocol or definition
. . . basedOn Σ 0..* Reference ( CarePlan | ServiceRequest ) A request for this procedure
. . . partOf Σ 0..* Reference ( Procedure | Observation | MedicationAdministration ) Part of referenced event
. . . status ?! Σ 1..1 code preparation | in-progress | not-done | suspended on-hold | aborted stopped | completed | entered-in-error | unknown
EventStatus ( Required )
. . . statusReason Σ 0..1 CodeableConcept Reason for current status
Procedure Not Performed Reason (SNOMED-CT) ( Example )
. . . category Σ 0..1 0..* CodeableConcept Classification of the procedure
Procedure Category Codes (SNOMED CT) ( Example )
. . . code Σ 0..1 CodeableConcept Identification of the procedure
Procedure Codes (SNOMED CT) ( Example )
. . . subject Σ 1..1 Reference ( Patient | Group ) Who the procedure was performed on
. . . context encounter Σ 0..1 Reference ( Encounter | EpisodeOfCare ) The Encounter or episode associated with the procedure during which this Procedure was created
. . . performed[x] occurrence[x] Σ 0..1 When the procedure was performed occurred or is occurring
. . . . performedDateTime occurrenceDateTime dateTime
. . . . performedPeriod occurrencePeriod Period
. . . . performedString occurrenceString string
. . . . performedAge occurrenceAge Age
. . . . performedRange occurrenceRange Range
. . . . occurrenceTiming Timing
... recorded Σ 0..1 dateTime When the procedure was first captured in the subject's record
. . . recorder Σ 0..1 Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole ) Who recorded the procedure
. . asserter . reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole | Organization ) Person who asserts this procedure
. . . performer Σ 0..* BackboneElement The people who performed the procedure
. . . . role function Σ 0..1 CodeableConcept The role the actor was in Type of performance
Procedure Performer Role Codes ( Example )
. . . . actor Σ 1..1 Reference ( Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device ) The reference to the practitioner
. . . . onBehalfOf 0..1 Reference ( Organization ) Organization the device or practitioner was acting for
. . . location Σ 0..1 Reference ( Location ) Where the procedure happened
. . . reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Procedure Reason Codes ( Example )
. . . reasonReference Σ 0..* Reference ( Condition | Observation | Procedure | DiagnosticReport | DocumentReference ) The justification that the procedure was performed
. . . bodySite Σ 0..* CodeableConcept Target body sites
SNOMED CT Body Structures ( Example )
. . . outcome Σ 0..1 CodeableConcept The result of procedure
Procedure Outcome Codes (SNOMED CT) ( Example )
. . . report 0..* Reference ( DiagnosticReport | DocumentReference | Composition ) Any report resulting from the procedure
. . . complication 0..* CodeableConcept Complication following the procedure
Condition/Problem/Diagnosis Codes ( Example )
. . . complicationDetail 0..* Reference ( Condition ) A condition that is a result of the procedure
. . . followUp 0..* CodeableConcept Instructions for follow up
Procedure Follow up Codes (SNOMED CT) ( Example )
. . . note 0..* Annotation Additional information about the procedure
. . . focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
. . . . action 0..1 CodeableConcept Kind of change to device
Procedure Device Action Codes ( Preferred )
. . . . manipulated 1..1 Reference ( Device ) Device that was changed
. . . usedReference 0..* Reference ( Device | Medication | Substance ) Items used during procedure
. . . usedCode 0..* CodeableConcept Coded items used during the procedure
FHIR Device Types ( Example )

doco Documentation for this format

UML Diagram ( Legend )

Procedure ( DomainResource ) Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and propagates is propagated from server to server identifier : Identifier [0..*] A The URL pointing to a FHIR-defined protocol, guideline, orderset order set or other definition that was is adhered to in whole or in part by this procedure Procedure instantiates instantiatesCanonical : canonical [0..*] « PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire » The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure instantiatesUri : uri [0..*] A reference to a resource that contains details of the request for this procedure basedOn : Reference [0..*] « CarePlan | ServiceRequest » A larger event of which this particular procedure is a component or step partOf : Reference [0..*] « Procedure | Observation | MedicationAdministration » A code specifying the state of the procedure. Generally Generally, this will be the in-progress or completed state (this element modifies the meaning of other elements) status : code [1..1] « A code specifying the state of the procedure. (Strength=Required) EventStatus ! » Captures the reason for the current state of the procedure statusReason : CodeableConcept [0..1] « A code that identifies the reason a procedure was not performed. (Strength=Example) Procedure Not Performed Reaso... ProcedureNotPerformedReason(S... ?? » A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure") category : CodeableConcept [0..1] [0..*] « A code that classifies a procedure for searching, sorting and display purposes. (Strength=Example) Procedure Category Codes (SNO... ProcedureCategoryCodes(SNOMED... ?? » The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy") code : CodeableConcept [0..1] « A code to identify a specific procedure . (Strength=Example) Procedure Codes (SNOMED CT) ProcedureCodes(SNOMEDCT) ?? » The person, animal or group on which the procedure was performed subject : Reference [1..1] « Patient | Group » The encounter Encounter during which the procedure this Procedure was created or performed or to which the creation of this record is tightly associated context encounter : Reference [0..1] « Encounter | EpisodeOfCare » Estimated or actual date, date-time, period, or age when the procedure was performed. did occur or is occurring. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured performed[x] occurrence[x] : Type [0..1] « dateTime | Period | string | Age | Range | Timing » The date the occurrence of the procedure was first captured in the record - potentially significantly after the occurrence of the event recorded : dateTime [0..1] Individual who recorded the record and takes responsibility for its content recorder : Reference [0..1] « Patient | RelatedPerson | Practitioner | PractitionerRole » Individual who is making Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the procedure statement source of the report asserter reported[x] : Reference Type [0..1] « boolean | Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole | Organization ) » The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant location : Reference [0..1] « Location » The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text reasonCode : CodeableConcept [0..*] « A code that identifies the reason a procedure is required. (Strength=Example) Procedure Reason ProcedureReasonCodes ?? » The justification of why the procedure was performed reasonReference : Reference [0..*] « Condition | Observation | Procedure | DiagnosticReport | DocumentReference » Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion bodySite : CodeableConcept [0..*] « Codes describing anatomical locations. May include laterality. (Strength=Example) SNOMED CT Body Structures SNOMEDCTBodyStructures ?? » The outcome of the procedure - did it resolve the reasons for the procedure being performed? outcome : CodeableConcept [0..1] « An outcome of a procedure - whether it was resolved or otherwise. (Strength=Example) Procedure Outcome Codes (SNOM... ProcedureOutcomeCodes(SNOMEDC... ?? » This could be a histology result, pathology report, surgical report, etc report : Reference [0..*] « DiagnosticReport | DocumentReference | Composition » Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues complication : CodeableConcept [0..*] « Codes describing complications that resulted from a procedure. (Strength=Example) Condition/Problem/Diagnosis Condition/Problem/DiagnosisCo... ?? » Any complications that occurred during the procedure, or in the immediate post-performance period complicationDetail : Reference [0..*] « Condition » If the procedure required specific follow up - e.g. removal of sutures. The followup follow up may be represented as a simple note, note or could potentially be more complex complex, in which case the CarePlan resource can be used followUp : CodeableConcept [0..*] « Specific follow up required for a procedure e.g. removal of sutures. (Strength=Example) Procedure Follow up Codes (SN... ProcedureFollowUpCodes(SNOMED... ?? » Any other notes and comments about the procedure note : Annotation [0..*] Identifies medications, devices and any other substance used as part of the procedure usedReference : Reference [0..*] « Device | Medication | Substance » Identifies coded items that were used as part of the procedure usedCode : CodeableConcept [0..*] « Codes describing items used during a procedure procedure. (Strength=Example) FHIR Device Types FHIRDeviceTypes ?? » Performer Distinguishes the type of involvement of the performer in the procedure. For example: example, surgeon, anaethetist, anaesthetist, endoscopist role function : CodeableConcept [0..1] « A code that identifies the role of a performer of the procedure. (Strength=Example) Procedure Performer Role ProcedurePerformerRoleCodes ?? » The practitioner who was involved in the procedure actor : Reference [1..1] « Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device » The organization the device or practitioner was acting on behalf of onBehalfOf : Reference [0..1] « Organization » FocalDevice The kind of change that happened to the device during the procedure action : CodeableConcept [0..1] « A kind of change that happened to the device during the procedure. (Strength=Preferred) Procedure Device Action ProcedureDeviceActionCodes ? » The device that was manipulated (changed) during the procedure manipulated : Reference [1..1] « Device » Limited to 'real' "real" people rather than equipment performer [0..*] A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure focalDevice [0..*]

XML Template

<Procedure xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <</identifier>
 <

 <identifier><!-- 0..* Identifier External Identifiers for this procedure --></identifier>
 <instantiatesCanonical><!-- 0..* canonical(ActivityDefinition|Measure|
   OperationDefinition|PlanDefinition|Questionnaire) Instantiates FHIR protocol or definition --></instantiatesCanonical>
 <instantiatesUri value="[uri]"/><!-- 0..* Instantiates external protocol or definition -->

 <basedOn><!-- 0..* Reference(CarePlan|ServiceRequest) A request for this procedure --></basedOn>
 <</partOf>
 <

 <partOf><!-- 0..* Reference(MedicationAdministration|Observation|Procedure) Part of referenced event --></partOf>
 <status value="[code]"/><!-- 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown -->

 <statusReason><!-- 0..1 CodeableConcept Reason for current status --></statusReason>
 <</category>

 <category><!-- 0..* CodeableConcept Classification of the procedure --></category>

 <code><!-- 0..1 CodeableConcept Identification of the procedure --></code>
 <</subject>
 <</context>
 <</performed[x]>
 <|
   </recorder>
 <|
   </asserter>
 <
  <</role>
  <|
    </actor>

 <subject><!-- 1..1 Reference(Group|Patient) Who the procedure was performed on --></subject>
 <encounter><!-- 0..1 Reference(Encounter) The Encounter during which this Procedure was created --></encounter>
 <occurrence[x]><!-- 0..1 dateTime|Period|string|Age|Range|Timing When the procedure occurred or is occurring --></occurrence[x]>
 <recorded value="[dateTime]"/><!-- 0..1 When the procedure was first captured in the subject's record -->
 <recorder><!-- 0..1 Reference(Patient|Practitioner|PractitionerRole|
   RelatedPerson) Who recorded the procedure --></recorder>
 <reported[x]><!-- 0..1 boolean|Reference(Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) Reported rather than primary record --></reported[x]>
 <performer>  <!-- 0..* The people who performed the procedure -->
  <function><!-- 0..1 CodeableConcept Type of performance --></function>
  <actor><!-- 1..1 Reference(Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) The reference to the practitioner --></actor>
  <onBehalfOf><!-- 0..1 Reference(Organization) Organization the device or practitioner was acting for --></onBehalfOf>
 </performer>
 <location><!-- 0..1 Reference(Location) Where the procedure happened --></location>
 <</reasonCode>
 <|
   </reasonReference>

 <reasonCode><!-- 0..* CodeableConcept Coded reason procedure performed --></reasonCode>
 <reasonReference><!-- 0..* Reference(Condition|DiagnosticReport|
   DocumentReference|Observation|Procedure) The justification that the procedure was performed --></reasonReference>
 <bodySite><!-- 0..* CodeableConcept Target body sites --></bodySite>
 <</outcome>
 <</report>

 <outcome><!-- 0..1 CodeableConcept The result of procedure --></outcome>
 <report><!-- 0..* Reference(Composition|DiagnosticReport|DocumentReference) Any report resulting from the procedure --></report>

 <complication><!-- 0..* CodeableConcept Complication following the procedure --></complication>
 <complicationDetail><!-- 0..* Reference(Condition) A condition that is a result of the procedure --></complicationDetail>
 <</followUp>

 <followUp><!-- 0..* CodeableConcept Instructions for follow up --></followUp>

 <note><!-- 0..* Annotation Additional information about the procedure --></note>
 <focalDevice>  <!-- 0..* Manipulated, implanted, or removed device -->
  <action><!-- 0..1 CodeableConcept Kind of change to device --></action>
  <manipulated><!-- 1..1 Reference(Device) Device that was changed --></manipulated>
 </focalDevice>
 <usedReference><!-- 0..* Reference(Device|Medication|Substance) Items used during procedure --></usedReference>
 <usedCode><!-- 0..* CodeableConcept Coded items used during the procedure --></usedCode>
</Procedure>

JSON Template

{doco
  "resourceType" : "",

  "resourceType" : "Procedure",

  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "
  "

  "identifier" : [{ Identifier }], // External Identifiers for this procedure
  "instantiatesCanonical" : [{ canonical(ActivityDefinition|Measure|
   OperationDefinition|PlanDefinition|Questionnaire) }], // Instantiates FHIR protocol or definition
  "instantiatesUri" : ["<uri>"], // Instantiates external protocol or definition

  "basedOn" : [{ Reference(CarePlan|ServiceRequest) }], // A request for this procedure
  "
  "

  "partOf" : [{ Reference(MedicationAdministration|Observation|Procedure) }], // Part of referenced event
  "status" : "<code>", // R!  preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown

  "statusReason" : { CodeableConcept }, // Reason for current status
  "

  "category" : [{ CodeableConcept }], // Classification of the procedure

  "code" : { CodeableConcept }, // Identification of the procedure
  "
  "
  
  ">",
  " },
  ">",
  " },
  " },
  "|
   
  "|
   
  "
    "
    "|
    

  "subject" : { Reference(Group|Patient) }, // R!  Who the procedure was performed on
  "encounter" : { Reference(Encounter) }, // The Encounter during which this Procedure was created
  // occurrence[x]: When the procedure occurred or is occurring. One of these 6:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceString" : "<string>",
  "occurrenceAge" : { Age },
  "occurrenceRange" : { Range },
  "occurrenceTiming" : { Timing },
  "recorded" : "<dateTime>", // When the procedure was first captured in the subject's record
  "recorder" : { Reference(Patient|Practitioner|PractitionerRole|
   RelatedPerson) }, // Who recorded the procedure  // reported[x]: Reported rather than primary record. One of these 2:
  "reportedBoolean" : <boolean>,
  "reportedReference" : { Reference(Organization|Patient|Practitioner|
   PractitionerRole|RelatedPerson) },
  "performer" : [{ // The people who performed the procedure
    "function" : { CodeableConcept }, // Type of performance
    "actor" : { Reference(Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) }, // R!  The reference to the practitioner
    "onBehalfOf" : { Reference(Organization) } // Organization the device or practitioner was acting for
  }],
  "location" : { Reference(Location) }, // Where the procedure happened
  "
  "|
   

  "reasonCode" : [{ CodeableConcept }], // Coded reason procedure performed
  "reasonReference" : [{ Reference(Condition|DiagnosticReport|
   DocumentReference|Observation|Procedure) }], // The justification that the procedure was performed
  "bodySite" : [{ CodeableConcept }], // Target body sites
  "
  "

  "outcome" : { CodeableConcept }, // The result of procedure
  "report" : [{ Reference(Composition|DiagnosticReport|DocumentReference) }], // Any report resulting from the procedure

  "complication" : [{ CodeableConcept }], // Complication following the procedure
  "complicationDetail" : [{ Reference(Condition) }], // A condition that is a result of the procedure
  "

  "followUp" : [{ CodeableConcept }], // Instructions for follow up

  "note" : [{ Annotation }], // Additional information about the procedure
  "focalDevice" : [{ // Manipulated, implanted, or removed device
    "action" : { CodeableConcept }, // Kind of change to device
    "manipulated" : { Reference(Device) } // R!  Device that was changed
  }],
  "usedReference" : [{ Reference(Device|Medication|Substance) }], // Items used during procedure
  "usedCode" : [{ CodeableConcept }] // Coded items used during the procedure
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco
[ a fhir:;

[ a fhir:Procedure;

  fhir:nodeRole fhir:treeRoot; # if this is the parser root
  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:
  fhir:

  fhir:Procedure.identifier [ Identifier ], ... ; # 0..* External Identifiers for this procedure
  fhir:Procedure.instantiatesCanonical [ canonical(ActivityDefinition|Measure|OperationDefinition|PlanDefinition|Questionnaire) ], ... ; # 0..* Instantiates FHIR protocol or definition
  fhir:Procedure.instantiatesUri [ uri ], ... ; # 0..* Instantiates external protocol or definition

  fhir:Procedure.basedOn [ Reference(CarePlan|ServiceRequest) ], ... ; # 0..* A request for this procedure
  fhir:
  fhir:

  fhir:Procedure.partOf [ Reference(MedicationAdministration|Observation|Procedure) ], ... ; # 0..* Part of referenced event
  fhir:Procedure.status [ code ]; # 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown

  fhir:Procedure.statusReason [ CodeableConcept ]; # 0..1 Reason for current status
  fhir:

  fhir:Procedure.category [ CodeableConcept ], ... ; # 0..* Classification of the procedure

  fhir:Procedure.code [ CodeableConcept ]; # 0..1 Identification of the procedure
  fhir:
  fhir:
  # . One of these 5
    fhir: ]
    fhir: ]
    fhir: ]
    fhir: ]
    fhir: ]
  fhir:
  fhir:
  fhir:
    fhir:
    fhir:

  fhir:Procedure.subject [ Reference(Group|Patient) ]; # 1..1 Who the procedure was performed on
  fhir:Procedure.encounter [ Reference(Encounter) ]; # 0..1 The Encounter during which this Procedure was created
  # Procedure.occurrence[x] : 0..1 When the procedure occurred or is occurring. One of these 6
    fhir:Procedure.occurrenceDateTime [ dateTime ]
    fhir:Procedure.occurrencePeriod [ Period ]
    fhir:Procedure.occurrenceString [ string ]
    fhir:Procedure.occurrenceAge [ Age ]
    fhir:Procedure.occurrenceRange [ Range ]
    fhir:Procedure.occurrenceTiming [ Timing ]
  fhir:Procedure.recorded [ dateTime ]; # 0..1 When the procedure was first captured in the subject's record
  fhir:Procedure.recorder [ Reference(Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who recorded the procedure
  # Procedure.reported[x] : 0..1 Reported rather than primary record. One of these 2
    fhir:Procedure.reportedBoolean [ boolean ]
    fhir:Procedure.reportedReference [ Reference(Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]
  fhir:Procedure.performer [ # 0..* The people who performed the procedure
    fhir:Procedure.performer.function [ CodeableConcept ]; # 0..1 Type of performance
    fhir:Procedure.performer.actor [ Reference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 1..1 The reference to the practitioner

    fhir:Procedure.performer.onBehalfOf [ Reference(Organization) ]; # 0..1 Organization the device or practitioner was acting for
  ], ...;
  fhir:Procedure.location [ Reference(Location) ]; # 0..1 Where the procedure happened
  fhir:
  fhir:

  fhir:Procedure.reasonCode [ CodeableConcept ], ... ; # 0..* Coded reason procedure performed
  fhir:Procedure.reasonReference [ Reference(Condition|DiagnosticReport|DocumentReference|Observation|Procedure) ], ... ; # 0..* The justification that the procedure was performed

  fhir:Procedure.bodySite [ CodeableConcept ], ... ; # 0..* Target body sites
  fhir:
  fhir:

  fhir:Procedure.outcome [ CodeableConcept ]; # 0..1 The result of procedure
  fhir:Procedure.report [ Reference(Composition|DiagnosticReport|DocumentReference) ], ... ; # 0..* Any report resulting from the procedure

  fhir:Procedure.complication [ CodeableConcept ], ... ; # 0..* Complication following the procedure
  fhir:Procedure.complicationDetail [ Reference(Condition) ], ... ; # 0..* A condition that is a result of the procedure
  fhir:

  fhir:Procedure.followUp [ CodeableConcept ], ... ; # 0..* Instructions for follow up

  fhir:Procedure.note [ Annotation ], ... ; # 0..* Additional information about the procedure
  fhir:Procedure.focalDevice [ # 0..* Manipulated, implanted, or removed device
    fhir:Procedure.focalDevice.action [ CodeableConcept ]; # 0..1 Kind of change to device
    fhir:Procedure.focalDevice.manipulated [ Reference(Device) ]; # 1..1 Device that was changed
  ], ...;
  fhir:Procedure.usedReference [ Reference(Device|Medication|Substance) ], ... ; # 0..* Items used during procedure
  fhir:Procedure.usedCode [ CodeableConcept ], ... ; # 0..* Coded items used during the procedure
]

Changes since DSTU2 Release 3

Procedure.performed[x] Add string, Add Age, Add Range Procedure.performer.actor Type changed from Reference(Practitioner|Organization|Patient|RelatedPerson|Device) to Reference(Practitioner|PractitionerRole|Organization|Patient|RelatedPerson|Device) Procedure.reasonReference Type changed from Reference(Condition|Observation) to Reference(Condition|Observation|Procedure|DiagnosticReport|DocumentReference) Procedure.report Type changed from Reference(DiagnosticReport) to Reference(DiagnosticReport|DocumentReference|Composition)
Procedure
Procedure.instantiates Procedure.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.1.0
Procedure.basedOn Procedure.category
  • Type Max Cardinality changed from Reference(CarePlan|ProcedureRequest|ReferralRequest) 1 to Reference(CarePlan|ServiceRequest) *
Procedure.statusReason Procedure.occurrence[x]
  • Added Element
Procedure.recorder Procedure.recorded
  • Added Element
Procedure.asserter Procedure.reported[x]
  • Added Element
Procedure.definition deleted Procedure.notDone Procedure.performed[x]
  • deleted
Procedure.notDoneReason Procedure.asserter
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON .

See R2 <--> R3 <--> R4 Conversion Maps (status = 9 15 tests that all execute ok. All tests pass 3 fail round-trip testing and all 1 r3 resources are valid.). Note: these have note yet been updated to be R3 to R4 invalid (0 errors). )

 

Alternate See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see the extensions & the dependency analysis

Path Definition Type Reference
Procedure.status A code specifying the state of the procedure. Required EventStatus
Procedure.statusReason A code that identifies the reason a procedure was not performed. Example Procedure Not Performed Reason (SNOMED-CT) ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category A code that classifies a procedure for searching, sorting and display purposes. Example Procedure Category Codes (SNOMED CT) ProcedureCategoryCodes(SNOMEDCT)
Procedure.code A code to identify a specific procedure . Example Procedure Codes (SNOMED CT) ProcedureCodes(SNOMEDCT)
Procedure.performer.role Procedure.performer.function A code that identifies the role of a performer of the procedure. Example Procedure Performer Role Codes ProcedurePerformerRoleCodes
Procedure.reasonCode A code that identifies the reason a procedure is required. Example Procedure Reason Codes ProcedureReasonCodes
Procedure.bodySite Codes describing anatomical locations. May include laterality. Example SNOMED CT Body Structures SNOMEDCTBodyStructures
Procedure.outcome An outcome of a procedure - whether it was resolved or otherwise. Example Procedure Outcome Codes (SNOMED CT) ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication Codes describing complications that resulted from a procedure. Example Condition/Problem/Diagnosis Codes Condition/Problem/DiagnosisCodes
Procedure.followUp Specific follow up required for a procedure e.g. removal of sutures. Example Procedure Follow up Codes (SNOMED CT) ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action A kind of change that happened to the device during the procedure. Preferred Procedure Device Action Codes ProcedureDeviceActionCodes
Procedure.usedCode Codes describing items used during a procedure procedure. Example FHIR Device Types FHIRDeviceTypes

Many of the elements of Procedure have inherent relationships and may be conveyed by the Procedure.code or in the text element of the Procedure.code property. I.e. You you may be able to infer category, bodySite and even indication. Whether these other properties will be populated may vary by implementation.

Care should be taken to avoid nonsensical combinations/statements; e.g. "name=amputation, bodySite=heart" bodySite=heart".

For devices, these are devices that are incidental to / or used to perform the procedure - scalpels, gauze, endoscopes, etc. Devices that are the focus of the procedure should appear in Procedure.device instead.

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
based-on reference A request for this procedure Procedure.basedOn
( CarePlan , ServiceRequest )
category token Classification of the procedure Procedure.category
code token A code to identify a procedure Procedure.code 8 13 Resources
context reference Encounter or episode associated with the procedure Procedure.context ( EpisodeOfCare , Encounter ) date date When the procedure was performed occurred or is occurring Procedure.performed Procedure.occurrence 17 Resources
encounter reference Search by encounter The Encounter during which this Procedure was created Procedure.context Procedure.encounter
( Encounter )
12 Resources
identifier token A unique identifier for a procedure Procedure.identifier 26 30 Resources
instantiates instantiates-canonical reference Instantiates FHIR protocol or definition Procedure.instantiatesCanonical
( Questionnaire , Measure , PlanDefinition , OperationDefinition , ActivityDefinition )
instantiates-uri uri Instantiates external protocol or definition Procedure.instantiates Procedure.instantiatesUri
location reference Where the procedure happened Procedure.location
( Location )
part-of reference Part of referenced event Procedure.partOf
( Observation , Procedure , MedicationAdministration )
patient reference Search by subject - a patient Procedure.subject Procedure.subject.where(resolve() is Patient)
( Patient )
29 33 Resources
performer reference The reference to the practitioner Procedure.performer.actor
( Practitioner , Organization , Device , Patient , PractitionerRole , RelatedPerson )
reason-code token Coded reason procedure performed Procedure.reasonCode
reason-reference reference The justification that the procedure was performed Procedure.reasonReference
( Condition , Observation , Procedure , DiagnosticReport , DocumentReference )
status token preparation | in-progress | not-done | suspended on-hold | aborted stopped | completed | entered-in-error | unknown Procedure.status
subject reference Search by subject Procedure.subject
( Group , Patient )